Deirdre Sheridan Haltermann, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Stamford, NY
NPI 1134420151 · NPPES record last updated Nov 8, 2010
Key facts
- NPI
- 1134420151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 06669-1 (NY)
- Practice address
- 159 W Main St
Cyr Center
Stamford, NY 12167-1027 - Phone
- (607) 652-1200
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06669-1 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 06669-1 | NY | Yes |
Addresses
Primary practice location
159 W Main St
Cyr Center
Stamford, NY 12167-1027
Mailing address
PO Box 494
Windham, NY 12496-0494
Phone (518) 734-5481
Other providers in Stamford, NY
- Elizabeth Regina Fox
- Jeffrey A Goldman
- Aldrich Brend Gonzaga
- Kelly K Goodemote
- Tara Jean Gorence
- Headwaters Emergency Medical Services Inc
- Christy L Hubbard
- Glen Joshpe
- Eileen C King
- Cara Elise Lefever
All providers in Stamford, NY · Pediatric Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.